Population Health
The biosimilar will be available at $0 out-of-pocket for most patients through Quallent's copay assistance program.
The rules are intended to achieve the promise of the Mental Health Parity and Addiction Equity Act of 2008, federal agencies say.
The Kaiser-created nonprofit is also giving up to $400M for value-based platform integration and $300M for growth opportunities.
Twenty-three percent of marketplace enrollees were in a plan with a network that included a quarter or fewer of the doctors in their area.
CMS streamlined the application process and focused on navigators helping historically underserved groups.
Maternal morbidity is 1.5 times higher among Black mothers than Hispanic mothers, the data shows.
The updated coverage policy begins Sept. 1 and will be effective on a rolling basis for most plans on renewal.
